Sun Bay Koreatown, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

SUN BAY KOREATOWN, LLC

Doing business as

Sun Bay Senior Club

Practice address

3060 W Olympic Blvd # 120
Los Angeles, CA 90006-3832

Phone

(213) 471-8288

NPI assigned

Aug 29, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bennett Kim

Title

Ceo

Phone

(310) 770-7091

Specialties & licenses 1

Addresses

Other names 1

• Sun Bay Senior Club Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567036800000",
    "number": "1912555202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 S ARDMORE AVE APT 501",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900061457",
            "telephone_number": "310-770-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 W OLYMPIC BLVD # 120",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900063832",
            "telephone_number": "213-471-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN BAY KOREATOWN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-29",
        "last_updated": "2019-08-29",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "BENNETT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-770-7091"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun Bay Senior Club",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lekeisha Sumner, PHD
• Kizzy Sumo
• Lurinda Sumpter Jones
• Sun Acupuncture and Healing Center
• Sun Ae Won
• Sun Diagnostic
• Sun Drug Pharma Inc (Sun Drug Co)
• Sun Drug Pharma Inc (Sun Drug Co)
• Sun J Shin MD Inc
• Sun Lake Drug

• Adult Day Care Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Adult Day Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.